Persistent Thumb Numbness: When to See a Specialist?
Numbness in the thumb? I woke up on the morning of April 13th and noticed that the back of my right thumb is numb, but the palm side of the thumb feels normal. I suspect it might be due to pressure while sleeping, but this symptom has persisted for two days. Which specialty shoul...
Dr. Lan Shengxing Reply:
Dear Bin, I suggest you observe for a while first.[Read More] Persistent Thumb Numbness: When to See a Specialist?
Early Signs of Parkinson's Disease: Understanding Symptoms and Diagnosis
Early-stage Parkinson's disease? Hello Dr. Lan: I have noticed that my hands have been trembling involuntarily since last year. Initially, I felt that both hands were shaking, but the tremors were very slight. However, since this had never happened before, I became quite anx...
Dr. Lan Shengxing Reply:
Dear Aaron, the likelihood of developing Parkinson's disease at your age is low, and the symptoms you described do not resemble the early signs of Parkinson's disease. Additionally, you did not mention any reactions after taking medication. I personally recommend that y...[Read More] Early Signs of Parkinson's Disease: Understanding Symptoms and Diagnosis
Feeling Dizzy After Oversleeping: Causes and Solutions
Sleeping for too long can cause dizziness upon waking? Yesterday, I accidentally overslept for about 18.9 hours. This morning, I felt fine, but later while taking a shower, I started to feel dizzy and uncomfortable. I kept seeing a bright area in front of my eyes. At first, it wa...
Dr. Gao Chunde Reply:
It seems more like low blood pressure, possibly due to prolonged lack of hydration and caloric intake.[Read More] Feeling Dizzy After Oversleeping: Causes and Solutions
Understanding Your Lower Back Pain: When to See a Neurologist
Lumbar issues? Hello Dr. Jiang: My lower back has been uncomfortable suddenly, and it has recurred recently. The symptoms include feeling unable to stand up straight. After walking or standing for a while, it feels somewhat better, but I am worried about muscle atrophy because I ...
Dr. Jiang Junyi Reply:
Hello, based on your described symptoms, they are similar to lumbar myofascial pain syndrome or nerve root compression. Clinically, this often presents as pain at the affected area, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen upon waking in the morning...[Read More] Understanding Your Lower Back Pain: When to See a Neurologist
Confused About Which Specialist to See for Neurological Issues?
I'm not sure which specialty to see? Hello doctor, my mother-in-law fell and had brain surgery five years ago. For the first two to three years after the surgery, her movements were slower, but she was still able to move around and take care of herself. However, in the past ...
Dr. Gao Chunde Reply:
A consultation with a neurologist can be considered to assess for cognitive decline in the elderly or other neurodegenerative diseases, or to evaluate if the aforementioned conditions are accompanied by emotional issues. However, it is crucial to first rule out any potential side...[Read More] Confused About Which Specialist to See for Neurological Issues?
Understanding Neck and Scalp Numbness: Causes and Relief Strategies
Numbness in the neck (tight and tingling) and a tingling sensation in the scalp? Hello doctor, while I was relaxing in my flexible computer chair and leaned back to get up, I heard a popping sound from my cervical spine. When I turned my head, there was another sound, making it a...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. If a nerve root is compressed, it ma...[Read More] Understanding Neck and Scalp Numbness: Causes and Relief Strategies
Understanding Dizziness: Causes and Concerns After a Cold
Dizziness condition? Hello, I have a cold these days and have seen a doctor and taken medication. However, I occasionally feel dizzy, particularly at the back of my head near the top. Sometimes, the back of my head feels cool. What could be the reason for this? Thank you.
Dr. Jiang Junyi Reply:
Hello, based on your description, experiencing unusual sensations in the back of your head after taking cold medication may be due to a decrease in peripheral vascular tone caused by neural reflexes, leading to blood pooling in peripheral tissues and insufficient blood flow to th...[Read More] Understanding Dizziness: Causes and Concerns After a Cold
Which Specialist to Consult for Post-Stroke Symptoms?
I'm not sure which specialty to see? Hello Doctor, my mother-in-law fell and had brain surgery five years ago. For the first two to three years after the surgery, her movements were slower, but she was still able to move and live independently. However, over the past year, s...
Dr. Gao Chunde Reply:
A consultation with a neurologist can be considered to assess for cognitive decline in the elderly or other neurodegenerative diseases, or to evaluate if the aforementioned conditions are accompanied by emotional issues. However, it is crucial to first rule out any related side e...[Read More] Which Specialist to Consult for Post-Stroke Symptoms?
Understanding Persistent Dizziness and Balance Issues: A Neurology Perspective
Dizziness and a sense of imbalance? Hello Doctor, I have been experiencing dizziness for over two years. I previously underwent a brain MRI, balance tests, and hearing assessments in the ENT department, all of which showed no abnormalities. The dizziness occurs whenever I stand, ...
Dr. Gao Chunde Reply:
You can consult a neurologist. If the dizziness is caused by tension-type headaches, the examinations may appear normal. However, the physician can prescribe some medications to help alleviate the symptoms. If the feeling of imbalance is indeed related to an underlying neurologic...[Read More] Understanding Persistent Dizziness and Balance Issues: A Neurology Perspective
Post-Exercise Cold Sensation and Mild Headaches: Is It Normal?
Mild body chill and slight headache after light exercise? My height is 181 cm, and my weight is 104 kg. My usual body temperature is around 36.6 degrees Celsius. I typically exercise by cycling about every two days. Three months ago, I started preparing for exams and interviews, ...
Dr. Jiang Junyi Reply:
Based on your description, it's unclear whether you performed stretching exercises before and after your workout. The headache may be related to myofascial inflammation in the back. As for the definition of hypothermia, it is when the core temperature falls below 35 degrees ...[Read More] Post-Exercise Cold Sensation and Mild Headaches: Is It Normal?
Did I Suffer a Concussion After a Bike Fall? Understanding Symptoms
The bike slipped, and I first hit my waist, followed by my head? I fell off my bike today after slipping, hitting my lower back first and then my head. After hitting my head, I felt a bit dizzy, but I was able to get up and stand without any issues. I didn't experience any v...
Dr. Jiang Junyi Reply:
Hello, based on your description, head trauma must be assessed through observation. If the patient is conscious and only has scalp lacerations, mild headache, and dizziness, observation is sufficient and a CT scan is not necessary. However, if there is post-traumatic amnesia, los...[Read More] Did I Suffer a Concussion After a Bike Fall? Understanding Symptoms
Managing Dizziness and Nausea: Understanding Neurological Symptoms
Dizziness and nausea? In the morning, when I try to get out of bed but end up staying in bed longer, I experience brief dizziness and a feeling of nausea when I turn over. After getting up, while standing at the edge of the bed and bending down to arrange the blankets, I suddenly...
Dr. Jiang Junyi Reply:
Hello, based on your description, Benign Paroxysmal Positional Vertigo (BPPV) should be considered first. The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting backward, lying down, getting up, rolling o...[Read More] Managing Dizziness and Nausea: Understanding Neurological Symptoms
Understanding Neck Pain, Headaches, and Fever: When to Seek Help
Head and neck pain with fever? Hello Doctor, my husband started experiencing neck pain, headaches, and fever two days ago. He went to the emergency department of a large hospital where the doctor tested for influenza and confirmed that he did not have it. The doctor then helped r...
Dr. Gao Chunde Reply:
Inability to rotate the neck to the left or right is more likely due to muscle inflammation. If there is difficulty bending the neck forward and backward, it may indicate neck stiffness, which could be associated with a central nervous system infection. It is advisable to consult...[Read More] Understanding Neck Pain, Headaches, and Fever: When to Seek Help
Understanding Tone F.C: Can It Help with Nerve Repair?
The doctor prescribed Tone F.C. Jing'an membrane 10 mg? Hello Dr. Gao: Following up on my previous inquiry regarding the itching in my chest, I have not seen any improvement. Today, I consulted another neurologist. I mentioned that my chest itches, and I have already seen sp...
Dr. Gao Chunde Reply:
Sometimes neurologists may choose to use certain anticonvulsants or antidepressants to manage patients' neuropathic pain or sensory abnormalities. Your attending physician's choice of medication should be based on careful consideration, selecting the most appropriate dr...[Read More] Understanding Tone F.C: Can It Help with Nerve Repair?
Understanding Right-Sided Muscle Pain: When to Seek Medical Attention
Right-sided muscle pain? Hello doctor, I would like to ask about a condition I experienced about a week ago. I felt a stiff neck on the right side but did not seek medical attention. The symptoms improved somewhat, but there is still some mild pain. Then, the night before last, w...
Dr. Gao Chunde Reply:
Sometimes poor posture or improper use, as well as overuse, can lead to localized muscle inflammation and pain. Rest, heat therapy, and moderate massage usually help with recovery. However, if the pain persists or recurs frequently, it is important to seek medical attention for a...[Read More] Understanding Right-Sided Muscle Pain: When to Seek Medical Attention
Understanding Involuntary Thumb Tremors: Possible Causes and Concerns
Involuntary tremors of the left thumb? Hello, doctor. I am a 26-year-old male, and my dominant hand is my right hand. Recently, over the past two weeks, I have noticed a tremor in my left thumb. The tremor occurs when I am not intentionally using my left hand (when relaxed or res...
Dr. Gao Chunde Reply:
The type of tremor you described is indeed very similar to Parkinsonian tremor; however, it is essential for a specialized physician to conduct a personal examination to check for rigidity, bradykinesia, or postural reflexes in order to make an accurate diagnosis. Before confirmi...[Read More] Understanding Involuntary Thumb Tremors: Possible Causes and Concerns
Relieving Nerve Pain from Prolonged Sitting: Solutions for Back Discomfort
Prolonged sitting can lead to back numbness? Due to work requirements, I need to sit for long periods. However, I have gradually noticed frequent lower back pain, and in the past two weeks, I have started experiencing a tingling sensation in the left side of my back intermittentl...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of left-sided neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may al...[Read More] Relieving Nerve Pain from Prolonged Sitting: Solutions for Back Discomfort
Concerns About Forxiga: Weight Loss and Neurological Symptoms Explained
I'm sorry, I still have a few questions? Dr. Jiang, I apologize for having one more question. I have been taking Forxiga for about eleven days, and I lost five kilograms in two weeks. After stopping the medication, my weight returned to normal. However, during the medication...
Dr. Jiang Junyi Reply:
Hello, based on your description, the assessment of kidney function can be done by testing the levels of blood urea nitrogen, creatinine, and uric acid to see if they are normal; or by arranging a urinalysis to check for proteinuria or urinary stones. I recommend consulting a nep...[Read More] Concerns About Forxiga: Weight Loss and Neurological Symptoms Explained
Understanding Memory Loss After a Severe Head Injury: What to Expect
Severe head trauma after a fall? Hello Doctor: Three weeks ago, I slipped on wet tiles while exiting my bathroom at home and hit the back of my head near my left ear against the wall. The impact was quite severe, and I lost consciousness for a moment, feeling a tingling sensation...
Dr. Gao Chunde Reply:
The area near the left ear corresponds to the left temporal lobe in the brain, which houses auditory processing, language functions, and deeper memory regions. Your symptoms could indicate a short-term neurological dysfunction due to a concussion, but they may also suggest other ...[Read More] Understanding Memory Loss After a Severe Head Injury: What to Expect
Understanding Memory Loss and Attention Issues: When to Seek Help
Lack of memory regarding events. Difficulty concentrating. Inability to express thoughts suddenly? Hello doctor, I have recently been experiencing significant memory issues. I can't recall many things I've done, and often forget what I intended to do right after turning...
Dr. Gao Chunde Reply:
Sometimes, temporary memory lapses can occur, leading to forgetfulness, which means forgetting something in the moment and struggling to recall it. However, it often comes back later when it is no longer needed. This situation is usually related to stress, anxiety, depressive moo...[Read More] Understanding Memory Loss and Attention Issues: When to Seek Help